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NPI Code Detail

MEDICARE: MARK JUHL MD

MEDICARE: MARK JUHL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician162860CA
2207ND0101XMOHS-Micrographic Surgery Physician162860CA
3207NS0135XProcedural Dermatology Physician162860CA
4207N00000XDermatology Physician20876NV

General Provider Information

NPI Number : 1912391897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK JUHL MD
Provider Business Mailing Address
First Line : 1661 LUCERNE ST
Second Line :
City : MINDEN
State : NV
Zip : 89423-4381
Country : US
Telephone Number : 775-782-0700
Fax Number : 775-782-0500
Provider Business Practice Location Address
First Line : 1661 LUCERNE ST
Second Line :
City : MINDEN
State : NV
Zip : 89423-4381
Country : US
Telephone Number : 775-782-0700
Fax Number : 775-782-0500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 07/19/2024

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